| James R Donley Dds Plc | |
|
166 N Causeway St N Muskegon MI 49445-3302 | |
| (231) 744-6661 | |
| (231) 744-2837 |
| Full Name | James R Donley Dds Plc |
|---|---|
| Speciality | Dentist |
| Location | 166 N Causeway St, N Muskegon, Michigan |
| Authorized Official Name and Position | James Russell Donley (MANAGER/DENTIST) |
| Authorized Official Contact | 2317446661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James R Donley Dds Plc 166 N Causeway St N Muskegon MI 49445-3302 Ph: (231) 744-6661 | James R Donley Dds Plc 166 N Causeway St N Muskegon MI 49445-3302 Ph: (231) 744-6661 |
| NPI Number | 1841599230 |
|---|---|
| Provider Enumeration Date | 03/24/2011 |
| Last Update Date | 08/19/2015 |
| Medicare PECOS PAC ID | 7113242546 |
|---|---|
| Medicare Enrollment ID | O20180227000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841599230 | NPI | - | NPPES |
| 9163 | Other | MI | DENTAL LICENSE |
| 1841599230 | Other | NPI TYPE II | |
| 1528012697 | Other | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9163 (Michigan) | Primary |
| Provider Name | James R Donley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528012697 PECOS PAC ID: 2860670080 Enrollment ID: I20180305000185 |
Michelle L. Piper, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Ruddiman Dr, N Muskegon, MI 49445 Phone: 231-744-8000 Fax: 231-744-8686 |